Dr. Neenu Prasad
Family Doctor Family Doctor - Geriatric Medicine
2160 S 1st Ave
Maywood
, Illinois 60153-3328
Dr. Neenu Prasad
Family Doctor Family Doctor - Geriatric Medicine
2160 S 1st Ave
Maywood
, Illinois 60153-3328
(708) 216-9000
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Neenu Prasad
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-9000
Second Address
- Dr. Neenu Prasad
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 005227 | GA |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 036136239 | IL |
National Provider Identifier
| NPI | 1114214996 |
|---|---|
| Provider Name | Dr. Neenu Prasad |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2011 |
| Last Update Date | 19/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.